Mafosfamide, a cyclophosphamide analog, causes a proinflammatory response and increased permeability on endothelial cells in vitro.


Journal

Bone marrow transplantation
ISSN: 1476-5365
Titre abrégé: Bone Marrow Transplant
Pays: England
ID NLM: 8702459

Informations de publication

Date de publication:
04 2023
Historique:
received: 28 09 2022
accepted: 05 01 2023
revised: 21 12 2022
medline: 6 4 2023
pubmed: 14 1 2023
entrez: 13 1 2023
Statut: ppublish

Résumé

Post-transplantation cyclophosphamide (PTCy) has decreased GVHD incidence. Endothelial damage in allo-HCT is caused by multiple factors, including conditioning treatments and some immunosupressants, and underlies HCT-complications as GVHD. Nevertheless, the specific impact of PTCy on the endothelium remains unclear. We evaluated the effect of mafosfamide (MAF), an active Cy analog, on endothelial cells (ECs) vs. cyclosporine A (CSA), with known damaging endothelial effect. ECs were exposed to MAF and CSA to explore changes in endothelial damage markers: (i) surface VCAM-1, (ii) leukocyte adhesion on ECs, (iii) VE-cadherin expression, (iv) production of VWF, and (v) activation of intracellular signaling proteins (p38MAPK, Akt). Results obtained (expressed in folds vs. controls) indicate that both compounds increased VCAM-1 expression (3.1 ± 0.3 and 2.8 ± 0.6, respectively, p < 0.01), with higher leukocyte adhesion (5.5 ± 0.6, p < 0.05, and 2.8 ± 0.4, respectively). VE-cadherin decreased with MAF (0.8 ± 0.1, p < 0.01), whereas no effect was observed with CSA. Production of VWF augmented with CSA (1.4 ± 0.1, p < 0.01), but diminished with MAF (0.9 ± 0.1, p < 0.05). p38MAPK activation occurred with both compounds, being more intense and faster with CSA. Both drugs activated Akt, with superior MAF effect at longer exposure. Therefore, the cyclophosphamide analog MAF is not exempt from a proinflammatory effect on the endothelium, though without modifying the subendothelial characteristics.

Identifiants

pubmed: 36639572
doi: 10.1038/s41409-023-01912-w
pii: 10.1038/s41409-023-01912-w
doi:

Substances chimiques

mafosfamide 5970HH9923
Vascular Cell Adhesion Molecule-1 0
Proto-Oncogene Proteins c-akt EC 2.7.11.1
von Willebrand Factor 0
Cyclophosphamide 8N3DW7272P
Cyclosporine 83HN0GTJ6D

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

407-413

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer Nature Limited.

Références

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Auteurs

Julia Martinez-Sanchez (J)

Josep Carreras Leukaemia Research Institute (Campus Clínic), Barcelona, Spain.
Hemostasis and Erythropathology Laboratory, Hematopathology, Department of Pathology, Centre de Diagnòstic Biomèdic (CDB), Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain.
Barcelona Endothelium Team, Barcelona, Spain.

Roger Pascual-Diaz (R)

Hemostasis and Erythropathology Laboratory, Hematopathology, Department of Pathology, Centre de Diagnòstic Biomèdic (CDB), Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain.

Marta Palomo (M)

Josep Carreras Leukaemia Research Institute (Campus Clínic), Barcelona, Spain.
Hemostasis and Erythropathology Laboratory, Hematopathology, Department of Pathology, Centre de Diagnòstic Biomèdic (CDB), Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain.
Barcelona Endothelium Team, Barcelona, Spain.

Ana Belén Moreno-Castaño (AB)

Hemostasis and Erythropathology Laboratory, Hematopathology, Department of Pathology, Centre de Diagnòstic Biomèdic (CDB), Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain.
Barcelona Endothelium Team, Barcelona, Spain.

Helena Ventosa (H)

Medical Intensive Care Unit, Department of Internal Medicine, Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, Spain.

María Queralt Salas (MQ)

Hematology Department, Bone Marrow Transplantation Unit, Institut Clínic de Malalties Hemato-Oncològiques (ICMHO), Hospital Clínic, Barcelona, Spain.

Montserrat Rovira (M)

Hematology Department, Bone Marrow Transplantation Unit, Institut Clínic de Malalties Hemato-Oncològiques (ICMHO), Hospital Clínic, Barcelona, Spain.

Gines Escolar (G)

Hemostasis and Erythropathology Laboratory, Hematopathology, Department of Pathology, Centre de Diagnòstic Biomèdic (CDB), Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain.
Barcelona Endothelium Team, Barcelona, Spain.

Enric Carreras (E)

Josep Carreras Leukaemia Research Institute (Campus Clínic), Barcelona, Spain.
Barcelona Endothelium Team, Barcelona, Spain.

Maribel Diaz-Ricart (M)

Hemostasis and Erythropathology Laboratory, Hematopathology, Department of Pathology, Centre de Diagnòstic Biomèdic (CDB), Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain. mdiaz@clinic.cat.
Barcelona Endothelium Team, Barcelona, Spain. mdiaz@clinic.cat.

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